5-Fluorouracil (5-FU) Pharmacology Quiz
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Questions and Answers

What is the primary reason Leucovorin is administered with 5 FU?

  • To decrease the rate of 5 FU metabolism in the liver
  • To increase 5 FU's incorporation into DNA
  • To inhibit thymidylate synthase (correct)
  • To increase 5 FU's penetration into the CNS

Where is 5 FU metabolized rapidly?

  • Skin
  • Lung
  • Liver (correct)
  • Brain

What can elevated levels of dihydropyrimidine dehydrogenase (DPD) lead to?

  • Enhanced bioavailability of 5-FU
  • Increased risk of thrombosis
  • Decreased 5-FU catabolism (correct)
  • Enhanced activity of thymidylate synthase

Which enzyme is responsible for the hydrolysis of capecitabine to 5FU?

<p>An unknown enzyme (B)</p> Signup and view all the answers

In which phase of the cell cycle does 5 FU produce its anticancer effect?

<p>S phase (A)</p> Signup and view all the answers

What can happen to patients with DPD deficiency when treated with 5-FU?

<p>Severe toxicity manifested by pancytopenia and mucositis (A)</p> Signup and view all the answers

What is the main cytotoxic activity of capecitabine and 5-FU?

<p>Inhibition of thymidylate synthase (A)</p> Signup and view all the answers

Which enzyme is primarily concentrated in tumors and catalyzes the conversion of thymidine?

<p>Thymidine phosphorylase (B)</p> Signup and view all the answers

What is the major clinical use of cytarabine?

<p>Acute nonlymphocytic leukemia (AML) (C)</p> Signup and view all the answers

Which metabolite of cytarabine is pharmacologically inactive?

<p>Ara-U (B)</p> Signup and view all the answers

How does azacitidine primarily inhibit RNA processing and function?

<p>Incorporation into RNA (C)</p> Signup and view all the answers

Which phase of the cell cycle is affected by Ara-CTP, the active form of cytarabine?

<p>S phase (B)</p> Signup and view all the answers

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